The Advanced GERi Manikin simulates over 35 nursing and medical procedures, and also includes: Right IV Training Arm with a shoulder intramuscular injection site featuring replaceable skin and veins that roll when palpated; realistic flashback confirms proper needle placement Left Blood Pressure Training Arm that reproduces all five Korotkoff sounds and allows the instructor to vary systolic and diastolic levels, pulse rate, volume, and auscultatory gap Standard arms with right and left shoulder intramuscular injection sites are also included.